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J45.40

Moderate persistent asthma, uncomplicated

Diseases of the respiratory system Billable
Quick Reference
Asthma with daily symptoms requiring daily controller medication

Clinical Information

When to Use This Code

Asthma with daily symptoms requiring daily controller medication

Common Clinical Scenarios

  • Moderate asthma on ICS + LABA
  • Daily asthma symptoms
  • Multiple rescue inhaler uses per week
  • Asthma limiting activities

Documentation Requirements

  • Document symptom frequency (daily symptoms)
  • Record nighttime awakenings (>1x/week)
  • Note controller medications (ICS, LABA, LTRA)
  • Specify FEV1 60-80% predicted

Coding Guidelines

Inclusion Terms

These terms are included in this code:

Moderate persistent asthmaModerate asthma without exacerbation

Exclusion Terms

Do NOT use this code for:

  • Mild asthma (J45.30)
  • Severe asthma (J45.50)
  • Asthma with exacerbation (J45.41, J45.42)

Coding Notes

Based on NAEPP severity classification
Use J45.41 for moderate persistent with exacerbation
Step 3-4 treatment typically required

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Code Details

Code
J45.40
Category
Diseases of the respiratory system
Billable Status
Billable

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